A nurse is caring for a client.
Complete the following sentence by using the list of options.
The first two actions the nurse should take are
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Place the client in a private room (Option 1): Given the positive test results for tuberculosis (TB) exposure, placing the client in a private room is crucial for infection control. This helps prevent the spread of TB, which is a highly contagious disease, to other patients and healthcare staff. Isolation is a standard precaution for patients suspected of having active TB.
Apply supplemental oxygen (Option 2): The client's oxygen saturation is low at 88% on room air, indicating hypoxemia. Administering supplemental oxygen is essential to improve the patient's oxygen levels, ensure adequate tissue perfusion, and address any respiratory distress the patient may be experiencing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Moisturizing soap can leave a residue that may interfere with adhesion and is not recommended for stoma care.
B. Pressing the skin barrier for 30 seconds helps to ensure adhesion, which is necessary to prevent leakage and skin irritation.
C. The skin barrier opening should be cut close to the size of the stoma (about 1/8 inch larger) to prevent skin irritation and protect the peristomal skin.
D. Talc powder is not recommended, as it can interfere with the adhesive properties of the barrier.
Correct Answer is C
Explanation
A. It is not necessary for the client to remain supine for 10 minutes after administering otic medication. Typically, only a few minutes are needed to ensure the medication stays in the ear canal.
B. Pulling the pinna downward and back is the correct technique for children. For adults, the pinna should be pulled upward and back to straighten the ear canal.
C. Holding the ear dropper 1 cm from the ear prevents contamination while allowing for precise medication administration into the ear canal.
D. Cleansing the ear with isopropyl alcohol can cause irritation and is not generally required prior to otic medication administration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.